~~
NYC 9/11 Public Portal Document
WTC Visual Survey Form
/ Premise = 2
Safle Eo
Block: ies > ae: Commercial] °—T Name of Buliding:
Lot: Mix Use Other[]
| # of tf AKA's:
Building /Mana onl Ny Telephone Number: (212 ) (34 - 9a8
pullding Oye = kise|— hak Ayo pax) 5
| Address: :
‘On Site Contact:
“| Name: Soper - vary a Telephone Number: ( )
Building Owner Management Activities
Interior Survey Performed Ki Yes H No & J t,
Exterior Survey Perfo es[[]No \
General Clean Up es[_|No Locations: Ne hal we ae
ACM CleanUp []¥Y o —_ Locations:
Air Monitoring ves L_JNo
el ade
Locations:
Visual Inspection Results:
Copies of All Reports and Data Requestaaerves
Facade:
inspected _ Debris
North [I]N/A Yes [] No o Visible/Fine Layer []%to1” []>1”
South []N/A Yes[]No 0 Visible/Fine Layer []%to1" []>1”
East CIN/A Yes[]No No Visible/Fine Layer []%to1” []>1”
West [LIN/A es[-]No No Visible/Fine Layer []%toi” []> 1"
Facade Description:
Roof |
| Debris: ayo Visible /Fine Layer LI % to” Oe"
Description: a
Lv phe 7a f jus
~T A= dl cl
[
Setbacks N/A[]}
Floor: Debris Bai Visible/Fine Layer []% to 1” Oe?
Floor: Debris: ["] No Visible/Fine Layer []% to 1” LJ> 1”
Floor: Debris: [[] No Visible/Fine Layer ["]% to 1” Li> 1°
Floor: Debris: [_] No Visible/Fine Layer [[]% to 1” Lj>1°
Floor: Debris: [_] No Visible/Fine Layer []% to 1” Lj> 7
a bs wh dee len dusk ante ar lees
a ev — 7
NYC-WTC_000117998
Date: _| 14 a f2002
nen
7
( ir = Agency: ED _
Agency:
C-4
inspection Team: Name:
Name:
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000117998Source: NYC Law Department, mirrored locally